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Get WI DNR 3400-187 2004-2024

CONSTRUCTION SITE INSPECTION REPORT State of Wisconsin Department of Natural Resources dnr. wi. gov Form 3400-187 rev. 9/04 Page 1 of 2 Notice Use of this specific form is voluntary but the information contained on this form must be collected and kept by the permittee under s. NR 216. 48 4 Wis. Adm* Code for a construction site covered under the General WPDES Construction Site Storm Water Discharge Permit Permit No* WI-0067831-2. This form is provided for the convenience of the permittee to meet the requirements of s. NR 216. 48 4 Wis. Adm* Code. Multiple copies of this form may be made to compile the inspection report. Inspections of implemented erosion and sediment control best management practices must be performed weekly and within 24 hours after a precipitation event 0. 5 inches or greater which results in runoff* Weekly written reports of all inspections conducted by or for the permittee must be maintained throughout the period of general permit coverage. The information maintained in accordance with s. NR 216. 48 4 must be submitted to the Department upon request. Name of Permittee Construction Site Name Project Location County Contractor Field Office Phone Note Weekly inspection reports along with erosion control and stormwater management plans are required to be maintained on site and made available upon request. Type of inspection Weekly Precipitation Event Other specify Date of inspection mm/dd/yy Start a*m*/p*m* End Name s of individual s performing inspection Weather Description of present phase of construction Modifications Required Ditch Checks Erosion Control Plan Erosion Mat Grading Practices Inlet Protection Mulch Offsite Sediment Permanent Seeding Schedule / Phasing Silt Fence Silt Screen Sod Stabilized Outlet Temp* Diversion Channel Temp* Settling Basin Temporary Seeding Tracking Pads Turbidity Barrier Yes No Not Applicable Comments/Recommendations about the overall effectiveness of the erosion and sediment control measures. Note For each item checked Yes complete the follow-up information on page 2. Use the space below for detailed follow-up action items. Exact place of erosion/sediment control inspected Type of erosion/sediment control and its observed condition to erosion/sediment control including anticipated date of completion. NR 216. 48 4 Wis. Adm* Code for a construction site covered under the General WPDES Construction Site Storm Water Discharge Permit Permit No* WI-0067831-2. This form is provided for the convenience of the permittee to meet the requirements of s. NR 216. 48 4 Wis. This form is provided for the convenience of the permittee to meet the requirements of s. NR 216. 48 4 Wis. Adm* Code. Multiple copies of this form may be made to compile the inspection report. Inspections of implemented erosion and sediment control best management practices must be performed weekly and within 24 hours after a precipitation event 0. Adm* Code. Multiple copies of this form may be made to compile the inspection report. Inspections of implemented erosion and sediment control best management practices must be performed weekly and within 24 hours after a precipitation event 0. 5 inches or greater which results in runoff* Weekly written reports of all inspections conducted by or for the permittee must be maintained throughout the period of general permit coverage. .

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